NCLEX RN Pediatrics
Collection of 800+ Rigorously
Crafted Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
**Content and Structure**
The pediatric section of the NCLEX places significant emphasis on the care
of children and adolescents, addressing a diverse array of
topics such as growth and development, health promotion
and maintenance, pediatric diseases and disorders,
pharmacological and non-pharmacological interventions,
family-centered care, and developmental milestones. An
"800 QS Comprehensive" set refers to a robust collection
of 800 rigorously crafted questions encompassing all
major pediatric concepts and clinical scenarios that a
candidate might encounter on the NCLEX. These questions are typically
formulated in various formats, including but not limited to, multiple-choice,
select-all-that-apply (SATA), prioritization, and clinical case studies.
,A nurse is teaching an adolescent with inflammatory bowel disease
about treatment with corticosteroids. Which adverse effects are
concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
5. Growth spurts
6. Adrenal suppression
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
6. Adrenal suppression
RATIONALE: Adverse effects of corticosteroids include acne, hirsutism, mood
swings, osteoporosis, and adrenal suppression. Steroid use in children and
adolescents may cause delayed growth, not growth spurts.
A nurse is conducting an examination of a 6-month-old baby. During the
examination, the nurse should be able to elicit which reflex?
1. Babinski's
2. Startle
3. Moro's
4. Dance
1. Babinski's
RATIONALE:
The nurse should be able to elicit the Babinski's reflex because it may be
present the entire first year of life.
The startle reflex actually disappears around 4 months of age; the Moro's
,reflex, by 3 or 4 months of age; and the dance reflex, after the third or fourth
week.
When teaching a parent of a school-age child about signs and symptoms
of fever that require immediate notification of the physician, which
description should the nurse include?
1. Burning or pain with urination
2. Complaints of a stiff neck
3. Fever disappearing for longer than 24 hours, then returning
4. History of febrile seizures
2. Complaints of a stiff neck
RATIONALE: The nurse should discuss complaints of a stiff neck because fever
and a stiff neck indicate possible meningitis. Burning or pain with urination,
fever that disappears for 24 hours then returns, and a history of febrile
seizures should be addressed by the physician but can wait until office hours.
After being hospitalized for status asthmaticus, a child, age 5, is
discharged with prednisone (Deltasone) and other oral medications.
Two weeks later, when the child comes to the clinic for a checkup, the
nurse instructs the mother to gradually decrease the dosage of
prednisone, which will be discontinued. The mother asks why
prednisone must be discontinued. How should the nurse respond?
1. "Steroids increase the appetite, leading to obesity with prolonged use."
2. "Long-term steroid therapy
2. "Long-term steroid therapy may interfere with a child's growth."
RATIONALE: Steroids suppress release of adrenocorticotropic hormone from
the pituitary gland, stopping production of endogenous hormones by the
adrenal cortex. Because prolonged adrenal suppression may cause growth
retardation in a child, the duration and dosage of steroid therapy must be kept
to a minimum. Steroids also may cause central nervous system effects, such as
, euphoria, insomnia, and mood swings. Although steroids increase the appetite,
this effect isn't the reason for limiting their use in children. Steroids are
present in the body, so hypersensitivity isn't a problem, and they're likely to
cause euphoria, not depression.
A hospitalized infant, age 10 months, begins to choke while eating and
quickly becomes unconscious. A foreign object isn't visible in the infant's
airway, but respirations are absent and the pulse is 50 beats/minute and
thready. The nurse attempts rescue breathing, but the ventilations are
unsuccessful. What should the nurse do next?
1. Deliver five back blows.
2. Deliver five chest thrusts.
3. Perform chest compressions.
4. Deliver five abdominal thrusts.
1. Deliver five back blows.
RATIONALE: If rescue breathing is unsuccessful in a child younger than age 1,
the nurse should deliver five back blows, followed by five chest thrusts, to try
to expel the object from the obstructed airway. The nurse shouldn't perform
chest compressions because the infant has a pulse and because chest
compressions are ineffective without a patent airway for ventilation. The
nurse shouldn't use abdominal thrusts for a child younger than age 1 because
they can injure the abdominal organs.
An adolescent is admitted for treatment of bulimia nervosa. When
developing the care plan, the nurse anticipates including interventions
that address which metabolic disorder?
1. Hypoglycemia
2. Metabolic alkalosis
3. Metabolic acidosis
4. Hyperkalemia
Collection of 800+ Rigorously
Crafted Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
**Content and Structure**
The pediatric section of the NCLEX places significant emphasis on the care
of children and adolescents, addressing a diverse array of
topics such as growth and development, health promotion
and maintenance, pediatric diseases and disorders,
pharmacological and non-pharmacological interventions,
family-centered care, and developmental milestones. An
"800 QS Comprehensive" set refers to a robust collection
of 800 rigorously crafted questions encompassing all
major pediatric concepts and clinical scenarios that a
candidate might encounter on the NCLEX. These questions are typically
formulated in various formats, including but not limited to, multiple-choice,
select-all-that-apply (SATA), prioritization, and clinical case studies.
,A nurse is teaching an adolescent with inflammatory bowel disease
about treatment with corticosteroids. Which adverse effects are
concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
5. Growth spurts
6. Adrenal suppression
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
6. Adrenal suppression
RATIONALE: Adverse effects of corticosteroids include acne, hirsutism, mood
swings, osteoporosis, and adrenal suppression. Steroid use in children and
adolescents may cause delayed growth, not growth spurts.
A nurse is conducting an examination of a 6-month-old baby. During the
examination, the nurse should be able to elicit which reflex?
1. Babinski's
2. Startle
3. Moro's
4. Dance
1. Babinski's
RATIONALE:
The nurse should be able to elicit the Babinski's reflex because it may be
present the entire first year of life.
The startle reflex actually disappears around 4 months of age; the Moro's
,reflex, by 3 or 4 months of age; and the dance reflex, after the third or fourth
week.
When teaching a parent of a school-age child about signs and symptoms
of fever that require immediate notification of the physician, which
description should the nurse include?
1. Burning or pain with urination
2. Complaints of a stiff neck
3. Fever disappearing for longer than 24 hours, then returning
4. History of febrile seizures
2. Complaints of a stiff neck
RATIONALE: The nurse should discuss complaints of a stiff neck because fever
and a stiff neck indicate possible meningitis. Burning or pain with urination,
fever that disappears for 24 hours then returns, and a history of febrile
seizures should be addressed by the physician but can wait until office hours.
After being hospitalized for status asthmaticus, a child, age 5, is
discharged with prednisone (Deltasone) and other oral medications.
Two weeks later, when the child comes to the clinic for a checkup, the
nurse instructs the mother to gradually decrease the dosage of
prednisone, which will be discontinued. The mother asks why
prednisone must be discontinued. How should the nurse respond?
1. "Steroids increase the appetite, leading to obesity with prolonged use."
2. "Long-term steroid therapy
2. "Long-term steroid therapy may interfere with a child's growth."
RATIONALE: Steroids suppress release of adrenocorticotropic hormone from
the pituitary gland, stopping production of endogenous hormones by the
adrenal cortex. Because prolonged adrenal suppression may cause growth
retardation in a child, the duration and dosage of steroid therapy must be kept
to a minimum. Steroids also may cause central nervous system effects, such as
, euphoria, insomnia, and mood swings. Although steroids increase the appetite,
this effect isn't the reason for limiting their use in children. Steroids are
present in the body, so hypersensitivity isn't a problem, and they're likely to
cause euphoria, not depression.
A hospitalized infant, age 10 months, begins to choke while eating and
quickly becomes unconscious. A foreign object isn't visible in the infant's
airway, but respirations are absent and the pulse is 50 beats/minute and
thready. The nurse attempts rescue breathing, but the ventilations are
unsuccessful. What should the nurse do next?
1. Deliver five back blows.
2. Deliver five chest thrusts.
3. Perform chest compressions.
4. Deliver five abdominal thrusts.
1. Deliver five back blows.
RATIONALE: If rescue breathing is unsuccessful in a child younger than age 1,
the nurse should deliver five back blows, followed by five chest thrusts, to try
to expel the object from the obstructed airway. The nurse shouldn't perform
chest compressions because the infant has a pulse and because chest
compressions are ineffective without a patent airway for ventilation. The
nurse shouldn't use abdominal thrusts for a child younger than age 1 because
they can injure the abdominal organs.
An adolescent is admitted for treatment of bulimia nervosa. When
developing the care plan, the nurse anticipates including interventions
that address which metabolic disorder?
1. Hypoglycemia
2. Metabolic alkalosis
3. Metabolic acidosis
4. Hyperkalemia
